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Home My WebLink AboutPR20190000076PERMIT #: CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS•21700 COPLEY DR, Unit 360, DIAMOND BAR, CA 91765 APN 8293050041 LOT# TRACT# OWNER NAME MULLER ROCK 2 GATEWAY ADDRE55 18881 VON KARMAN AVE #400 CITY IRVINE ZIP 92612 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE ZIP TEL ARCH/ENG/DES NAME ADDRESS CITY STATE ZIP TEL P/C DATE P/C# ISSUE DATE SS Feb 2019 PR# PR20190000076 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Tenant Improvement Office #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ. FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL. Mechanical TYPE QUANTITY AMOUNT TOTAL Heat Pump (<100,001 BTU) 3 $32 42 $129 68 Exhaust Hood /Fan Duct 1 $78 35 $313 40 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 183 $1 62 31106 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture /Trap or Set of Fixtures 1 $19 82 $55 76 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $2,267 24 $2,667 34 PLAN REVIEW ELECTRICAL $311 06 PLUMBING $55 76 MECHANICAL $443 08 INSPECTION FEE ISSUANCE $146 03 SMIP $50 40 ENERGY $22672 RETENTION FEE $240 0S PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE $7791 RECYCLING AND WASTE DEP051T TOTAL FEES. $6,485 59 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION r. PERMIT #: PR20190000076 Kaui! !`� INSPECTION SETBACK / LETTER DATE: INSPECTOR; INSPECTION TRACK AND LEDGER DATE: INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA UFER GROUND GASTEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWERCLEANOLT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTLNG t_ 'Y WALL STEEL SST( I TND( I LIFT RO MECHANICAL WALL DRAIN ( SEAL RO ELECTRICAL W (} C () WALL FINAL RO PLUMBING NO FRAMING PLANNING APPROVAL INSULATION WALL J ROUGHFIREAPPROVAL INSULATION CEILING ',. /1 NNAL FIRE OEPA01AW t! f HOT MOP/SHOWERPAN I FINAL PLANNING DRYWALL 2 y FINAL PWENGINEENING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINALNEALTHDEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL j t GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERT OF OCCUPANCY COMMENTS bl�16� qf+g% -.O?A? o Aer *3 -7-Iq m 0 PERMIT #: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) [Section 70315, Business and Professions Code Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt from hcensure and the basis for the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale If however, the budding or improvement is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or improved for the purpose of sale ) (_)1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law ) (J I am exempt from licensure under the Contractor's State License law for the following reason(s) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site http/www leginfo ca gov/calaw html SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS LICENSE NUMBER EXPIRATION DATE CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37DO of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are CARRIER POLICY #. EXPIRATION DATE NAME OF AGENT PHONE # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions SIGNATURE OF APPLICANT DATE DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 8172, Civil Code) LENDER'S NAME LENDER'SADDRESS By my signature below, I certify to each of the following I am the property owner or authorized to act on the property owner's behalf I have read this application and the information I have provided is correct I agree to comply with all applicable city and county ordinances and state la relating to building construction I authorize representatives of the City of Diamond Bar to enter the above -id ntified o ert 1pection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT N----� DATE